Techniques, timelines, & teaching: The 3 T’s of optimizing lactation care for the late preterm dyad, Breastfeeding Dynamics Conference


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Christine Staricka

Country: United States


Evolving the Modern Breastfeeding Experience: Holistic Lactation Care in the First 100 Hours

If you have ever wondered why breastfeeding is doubted by so many and causes so much confusion and frustration for new mothers and healthcare providers alike, Evolving the Modern Breastfeeding Experience: Holistic Lactation Care in the First 100 Hours will be a breath of fresh air.

As a board-certified lactation consultant (IBCLC), I’ve witnessed firsthand significant changes in the field of lactation, including universal internet access, product proliferation, legislative changes in the US regarding breast pump eligibility, and the impact of the global pandemic on social support and healthcare.

The First 100 Hours approach to early lactation care is a mindset shift that will renew your faith in breastfeeding as important and achievable.

The earliest hours of breastfeeding can seem hopelessly medicalized by hospitals saying they “support” breastfeeding but not facilitating it, healthcare providers doubting breastfeeding at every turn and recommending interventions like pumping and infant formula, and a lack of education about how to feel confident about breastfeeding and milk production leaving new families frustrated and disappointed after they’ve gone home.

There’s a way to simplify it all – the First 100 Hours approach identifies the cultural myths and unhelpful practices that hinder the earliest hours of breastfeeding and lead to the struggles we often see lamented in tales of modern parenthood.

The First 100 Hours strategy reframes the concept of “getting milk on the 3rd day,” clarifies the timeline of lactation and sets appropriate expectations for milk volumes and breastfeeding. It addresses misconceptions and establishes a foundation for what is expected to occur during this critical timeframe.

The First 100 Hours approach defines how breastfeeding and milk production are designed to unfold and align simultaneously throughout the first 100 hours of a baby’s life.

The American breastfeeding experience is often characterized by limited prenatal education, intervention-heavy labor and birth, rushed postpartum hospital stays with inadequate lactation support, and a discharge process that leaves new parents lacking information. New parents are bombarded with messages emphasizing the need to acquire numerous baby-related products, particularly those associated with feeding. Commercial marketing efforts heavily target expectant and new parents and their healthcare providers, promoting formula use and undermining breastfeeding.

The First 100 Hours approach promotes respectful, family-centered care and seeks to transform the modern breastfeeding experience. It includes objectives such as establishing appropriate breastfeeding expectations, increasing exclusive breastfeeding rates, decreasing non-medically necessary formula supplementation, and extending the duration of breastfeeding.

The First 100 Hours approach encompasses recommendations from the Baby Friendly Hospital Initiative’s Ten Steps, the World Health Organization, and the Academy of Breastfeeding Medicine. Simple, gentle solutions like skin-to-skin contact and hand expression are emphasized for addressing common problems encountered during the first 100 hours of breastfeeding. These strategies protect the baby, mother, and milk production process while ensuring rest and connection.

It’s time for a new paradigm in early lactation care. You can adopt this mindset and experience the simplicity of simple, gentle lactation solutions here in Evolving the Modern Breastfeeding Experience: Holistic Lactation Care in the First 100 Hours. Breastfeeding isn’t just important for babies, and this book provides a strong reminder of how important it is to respect and nurture the new mother by facilitating evidence-informed lactation care practices and strengthening her capacity to breastfeed and make milk.

Evolve Lactation Podcast

Evolve Lactation Podcast was created to inspire, inform, and engage current and aspiring lactation care providers.
So glad you’re here! I’m Christine, an IBCLC and trained childbirth educator based in the US. I created Evolve Lactation after years of practicing clinical lactation care and providing professional lactation training to other health care providers to serve as a resource for learning and connecting over all things lactation-related.
Whether you’re seasoned or studying, I hope this show will make you think and inspire you to act.

Substack Blog

A subscription-based blog written by Christine Staricka, IBCLC on Substack covering:

Evolving lactation care through science, advocacy, & connection – wisdom & guidance on lactation care in the modern world

Book Review Lactivism: How Feminists and Fundamentalists, Hippies and Yuppies, and Physicians and Politicians Made Breastfeeding Big Business and Bad Policy

IBCLCs may have read with interest excerpts from the recently published Lactivism written by Canadian political science professor, Courtney Jung. These excerpts were almost impossible to miss in print and online media. There were sensationalized headlines, interviews with emotional stakeholders, and rebuttals by breastfeeding supporters and professional lactation care providers quickly following via social media.

After reading the book, however, it is important to observe that although it made some very salient points, there are also some major fundamental flaws, not the least of which is that Jung perpetuates the concept that science bears the burden of proving that there are benefits to breastfeeding. She also conveniently overlooks the fact that breast milk substitute is not the same as breast milk and that its use results in altered health outcomes. By focusing only on the “infections prevented,” she has missed the entire scope of health regarding epigenetics, the microbiome, human milk oligosaccharides and brain development, hormones, and so much more. She accuses “lactivists” of selecting the science, but then she does the same.

(Full text available through open access at website)